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ABC Coding Solutions

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Insurer Help

We offer insurers and insurance vendors (such as provider networks, EDI and payment systems) solutions to effectively do business with over 2 million qualified providers at a time when there are not enough doctors to meet patient needs in most states. You can contact us here for more information.

ABC Coding Helps Insurers:

✔ Increase clean claims and avoid resubmissions
✔ Reduce fraudulent claims and $10K fines for false claims
✔ Save $5 per claim by automating payments using relative values
✔ Reduce errors, paperwork and manual review of claims (estimated minimum $10 per claim savings)
✔ Meet EDI requirements of standard industry systems
✔ Provide over 2 million practitioners with the infrastructure to effectively communicate care and costs with insurers

Insurers

Set providers up to file electronic claims

Use standard electronic message formats

Automate payment processing

Provider Networks

Relative value units (RVUs) paired with ABC codes help establish fees

Scope of practice and training requirements help define who can do what in each state

Codes for each provider in each state can be tied to laws and training standards

Actuarial Analysis

Generate comparative effectiveness data by diagnosis(es)

Identify cost effective options to conventional medical care.

Ready to buy our ABC Coding Manual?

Grab a copy of our Coding manual today. We have the hardcopy available as well as the digital download and combination ABC Coding Manual and Superbill.

Get the ABC Coding Manual
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